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19 years

Question: 

Around 19 years ago, I had a sexual encounter with another guy of unknown
status. No anal intercourse, just mutual masturbation and unprotected oral
sex. He cum on my face resulting some of his semen splashed on my lips and
mouth, which I spat. At the point I thought that any CBC would include hiv
test so I have been tested blood every two-three years since the incident,
all my White cell count and lymphocite cellcount have result in normal range
since them, all other parametres as well. After that encounter I always had
safer sex ( mutual masturbation and sometimes protected anal intercourse,
wirh me being the insertive). However, I can remebme that after few months of
that incident ( 3 or four months) I started feelings my lymph nodes become
enlarged ( That ist hereasonI tested the first time, I thought any blood test
would include hiv test). Obviosly on my CBC result a bout hiv, which did not
appeared so I asume It was negative ( mistake) and all parametres were in
range. After that I decided to get a CBC more frequently. All parametres has
been ok ,even my GP has congratulated my because all the results.
The point is that I realised few months ago that a simple CBC does not
include hiv test, and I rembember that a few months after the incident suffer
several lymh nodes in neck and armpit during almost one year.
As I have said after that I always practiced safer sex ( mutual masturbation
and occasionally protected insertive anal sex), so I guess my only risk
exposure was the one I related. It ispossible to be infected and asymptomatic
after almost that period oftime.

Answer: 

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about acquiring HIV from mutual masturbation and unprotected oral sex. From the information given, this scenario is determined to be Low Risk (Evidence of transmission occurs through these activities when certain conditions are met).

HIV transmission occurs when bodily fluid containing HIV has direct access to the bloodstream of an individual who is of HIV negative status through a High Risk activity.

In this scenario you are inquiring about an encounter that has happened in the past. The act of mutual masturbation is determined to be No Risk as bodily fluids are not exchanged through this sexual act. The act of unprotected oral sex is considered to be Low Risk due to the exchange of bodily fluids.

You mention being asymptomatic and wondering if the late symptoms could be attributed to HIV acquisition. It is important to know that HIV acquisition does not have any set of universal symptoms and may vary from person to person (1). HIV symptoms can mirror other viral infections like the flu and can be due or explained by other things; this is why taking a test is the only way to know your status (2).

You stated that you have taken blood tests, but not specifically a HIV test. It is recommended to take an HIV test once a year or more depending on your level of risk activity to be aware of your status.

Recommendation: Refer to a health care provider for HIV testing.

Regards,

AIDS Vancouver Helpline/Online, Danielle